STATE PROFILE

Manipur is a small state of 22327 Sq.Km. area with a population of 2,721,756 (2011 census) and having 9 (nine) Districts. Barring a central valley comprising about 9% of the total area, the remaining area is hilly terrain. 60% of the population reside in the valley districts and 40% in the hill districts.The hills are subdivided into 5 districts whereas the valley is organised into 4 districts. 60% of the State’s population resides in the valley districts. The State is backward economically and industrially and lacks in basic infrastructure. The state practically sustains on central assistance.The State is land-locked and not freely accessible with other neighbouring states. Intra-state transport system is equally poor.

The population and area of the districts in the State are as under:

Sl.No.

Name of Dist.

Area (Sq Km)

No. of Vilgs.(2001 Census)

Populn. 2011 Census

Populn. density per sq.km

Sq.km/1000 populn

Urban

Rural

Total

A. Valley Dist.

1.

Imphal East

709

197

182354

270307

452661

638

1.567

2.

Imphal West

519

114

318592

196091

514683

992

1.008

3.

Thoubal

514

86

149206

271311

420517

818

1.222

4.

Bishnupur

496

48

88295

152068

240363

485

2.062

Total Valley

2238

445

738447

889777

1628224

728

1.3736

B. Hill District

1.

Chandel

3313

350

16909

127119

144028

43

23.256

2.

Churachandpur

4570

541

17373

253901

271274

59

16.949

3.

Senapati

3271

604

7454

347514

354972

109

9.174

4.

Tamenglong

4391

174

15727

124416

140143

32

31.25

5.

Ukhrul

4544

201

26222

156893

183115

40

25.00

Total Hill

20089

1870

83685

1009843

1093532

54

18.5185

Total (Hill+Valley)

22327

2315

822132

1899620

2721756

122

8.1967

2.Health Care in the State:

The health service in the state is primarily under the government sector, although there are a few private hospitals/nursing homes to reckon with.

The health system under the State Health Department is organised at three levels, each level supported by a referral centre. The levels are:-

b) Secondary care level comprising of CHCs and District Hospital, which act as referral centres and where comparatively better services are provided with basic specialist facilities.

c) Tertiary care level where specialist and super specialist care are provided. The State Level Hospital (JN Hospital) is providing the service.

The health indicators in the State are as follows:

Sl.No.

Item

Manipur State

All India average

1.

Infant Mortality rate

11

(SRS-11)

44

(SRS-11)

2.

Crude Birth Rate

14.4

(SRS-11)

21.8

(SRS-11)

3.

Crude Death Rate

4.1

(SRS-11)

7.1

(SRS-11)

4.

Maternal Mortality Rate

64

(RIMS-2010-11)

212

(SRS-07-09)

80

(RIMS-2011-12)

5.

TFR

1.5

2.5

6.

Sex ratio

987

(Census 2011)

940

(Census 2011)

7.

% of mother with full ANC

46.7

(HMIS-10)

26.5

CES-09(Unicef)

8.

Institutional Delivery %

68.3

(HMIS-10)

47.0

DLHS-3

9.

% of delivery by skilled health personnel

90.3

(HMIS-10)

76.2

CES-09(Unicef)

10.

Early institution of Breast Feeding

75.1

CES-9(Unicef)

33.5

CES-09(Unicef)

11.

% of Child exclusively breast fed for 6 months

79.2

DLHS-3

57.1

DLHS-3

12.

Fully immunized children 12-23 months

81.4

(HMIS-10)

61.0

CES-09(Unicef)

The demographic indicators in the State and target by the end of 12th plan.

Sl.No.

Item

Current Status

Target by 12th plan end

1.

Infant Mortality rate (SRS-11)

11

9

4.

Maternal Mortality Rate

64-80

60

5.

Total Fertility Rate

1.5

1.5

4.

Malnutrition of Children (0-3 yrs)

22

15

5.

Anaemia among Women (15-49 years)

35

20

6.

Sex Ratio (0-6 years)

934

960

2.

Crude Birth Rate (SRS-10)

14.4

12

3.

Crude Death Rate (SRS-10)

4.1

3.5

6.

Sex ratio(Census 2011)

987

995

7.

Mothers with full ANC

46.7

80

8.

Institutional Delivery

68.3

90

9.

Delivery by skilled health personnel

90.3

95

10.

Early institution of Breast Feeding

75.1

90

11.

Child exclusively breast fed for 6 months

79.2

90

12.

Fully immunized children 12-23 months

81.4

90

There has been considerable progress numerically in the establishment of health institutions in the State during the past 30 years.

The number of health institutions in the state along with bed strength is as in the table below:

Sl.No.

Category of Institution

Number

Sanctioned bed Strength

Actual bed in position

General hospital beds

A.

Under the State Health Department

1.

State General Hospital

1

500

376

376

2.

State TB Hospital

1

100

100

0

3.

State Leprosy Hospital

1

30

6

0

4.

District Hospitals

7

450

295

295

5.

Sub-district Hospital

1

50

50

50

6.

CHC

16

480

344

344

Sub-total Secondary

0

1610

1065

7.

PHC

85

432

370

0

8.

PHSC

421

0

0

0

9.

Allopathic Dispensary

20

0

0

0

10.

AYUSH Dispensary

10

0

0

0

Total:A

563

2042

1541

1065

B.

Under Ministry of Health GoI

1.

RIMS Hospital

1

1074

1074

1074

C.

Under Private Sector

0

Regd.Hospital andNursing Home

26

807

807

807

Grand Total(A+B+C)

590

3923

3422

2946

The bed population ratio to be achieved is 1 bed per 1000 population. If we take into account the 807 beds under private hospitals and 1074 beds under RIMS the bed population ratio desired may be said as achieved for the State. However, beds in CHCs and PHCs cannot be counted as giving the desired quality care.

Again, the beds at RIMS hospital are meant for patients in the NE region and although currently almost all the beds are used by patients from Manipur State, the trend is likely to change when other new super-speciality services are added and patients start coming from other states. Again the beds in private hospitals are subject to change at their own discretion and cannot be fully relied upon.Although the health institutions under the State Health Department look adequate in number they cannot function effectively due to poor physical infrastructure and their poor maintenance.

This is most evident in the area of Secondary Health Care Institutions particularly in the district hospitals.